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Cross sectional echocardiographic assessment of the extent of the atrial septum relative to the atrioventricular junction in atrioventricular septal defect. Of note, the closure of the cleft results in longer times before a reoperation is necessary [24]. [PubMed] [Cross Ref]Santoro G, Ambrosio G, Formigari R, Marcelletti C, Chiariello M, Marino B. When pulmonary artery resistances becomes higher than systemic artery resistances, the intracardiac shunt reverses and cyanosis develops, further decreasing the exercise capacity. This technique has been our routine since 2002, with the exception of 5 simultaneous patients in the beginning of our experience who were operated on with the two-patch technique. Low level of myocardial Superoxide Dismutase in patients with atrioventricularcanal. Churchill Livingstone, UK; 1993. ). 1992;42:424427. Statistical analysis Student's t-test was used for comparison of the means unpaired.

Once AV valve competence was assessed, the ostium primum defect was closed according to Prtre et al. This new technique permits the repair of complete AV canal without the need for any patch. Within this common junction, there may be a common atrioventricular valvar orifice (so called "complete" defects), or separate right and left valvar orifices for the right and left ventricles (so called "partial" defects).The space between the left ventricular components of the superior and inferior bridging leaflets is traditionally called "cleft". [PubMed]Marino B, Vairo U, Corno A, Nava S, Guccione P, Calbro R, Marcelletti C. doi: 10.1016/1054-8807(95)00117-4. TreatmentMedical treatmentMedical therapy aims to improve the signs and symptoms of congestive heart failure. Oral therapy with digoxin starts with a loading dose of 20–40 μg/kg (depending on the patient's age, from premature to child) in 3 doses over 24 h, continuing with a maintenance dose of 8–10 μg/kg/day in 2 doses. Surgical technique 4. In Rastelli's type A malformation, the space in the common anterior leaflet is also called "cleft". 2.

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